Provider Demographics
NPI:1073590725
Name:CHYUNG, ABRAHAM SC (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:SC
Last Name:CHYUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S BERETANIA ST STE 405
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2496
Mailing Address - Country:US
Mailing Address - Phone:808-691-8866
Mailing Address - Fax:808-691-8865
Practice Address - Street 1:550 S BERETANIA ST STE 405
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2496
Practice Address - Country:US
Practice Address - Phone:808-691-8866
Practice Address - Fax:808-691-8865
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA791872084N0400X
HI241402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA79187AMedicare PIN
CAI38581Medicare UPIN